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Organization

IN HIS IMAGE PT, LLC

Active
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Organization

IN HIS IMAGE PT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA V SPANGBERG PT (OWNER)
(208) 960-0173
Entity
Organization

Contact information

Practice address
10540 N BRIDLE WAY, BOISE, ID 83714-9598
(208) 960-0173
Mailing address
10540 N BRIDLE WAY, BOISE, ID 83714-9598

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2251P0200X
Pediatric Physical Therapist
Primary

Other

Enumeration date
04/28/2025
Last updated
05/26/2026
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